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1.
Soins Pediatr Pueric ; 41(315): 14-16, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32951689

RESUMO

When a family is recomposed or reconstituted, this brings new developmental tasks into play. The period of entry into puberty for adolescents is the beginning of a new family life cycle that challenges the tasks and roles of each individual. Family therapy can help to assemble individual fantasies into collective fantasies and allows for the rewriting of a family narrative that is meaningful to all members.


Assuntos
Família , Puberdade , Adolescente , Terapia Familiar , Humanos
2.
Inf. psiquiátr ; (241): 63-83, jul.-sept. 2020.
Artigo em Espanhol | IBECS | ID: ibc-197444

RESUMO

La psicoterapia multifamiliar es un modelo de terapia grupal compleja, rica e integradora, que permite incluir en un mismo lugar a pacientes, familias y equipo terapéutico. Las primeras experiencias en grupos multifamiliares se inician en Estados Unidos durante los años cincuenta, en entornos hospitalarios, para el tratamiento de los trastornos psicóticos como la esquizofrenia. Con el tiempo, el modelo multifamiliar se expande por el mundo y se ha venido implementando en distintos dispositivos asistenciales como hospitales de día o programas comunitarios, así como en una gran diversidad de poblaciones clínicas. En febrero de 2018, en el Equipo de Intervención Precoz en Psicosis (EIPP) del área del Baix Empordà, de la red de salud mental pública de la provincia de Girona, se crea un Grupo Multifamiliar (GMF) para jóvenes que han sufrido un Primer Episodio Psicótico (PEP) o bien tienen riesgo de padecerlo, los llamados Estados Mentales de Alto Riesgo (EMAR). En el equipo se construye un escenario terapéutico grupal con el objetivo de vincular, contener y dar continuidad de tratamiento al paciente y a su familia. Nuestro enfoque multifamiliar se ha inspirado en las ideas de Jaakko Seikkula y su modelo psicoterapéutico de Diálogo Abierto (Open Dialogue), y en las aportaciones de Irvin Yalom sobre la eficacia de los Factores Terapéuticos Grupales. Hemos hecho especial hincapié en los elementos a tener en cuenta en la gestión del clima emocional del grupo, que como sabemos es una de las variables de cambio psíquico más importantes. Nuestro GMF tiene como característica particular, la conducción terapéutica interdisciplinar. El presente artículo muestra el proceso de implementación e integración del GMF en un programa comunitario de intervención precoz de los trastornos psicóticos incipientes


Multifamily psychotherapy is a complex, rich and inclusive group therapy model that allows patients, families and a therapeutic team to be included in the same place. The first experiences in multi-family groups began in the United States during the 1950s, in hospital settings, for the treatment of psychotic disorders such as schizophrenia. Over time, the multi-family model has been spread throughout the world and has been implemented in different healthcare services such as day hospitals or community programs as well as in a wide variety of clinical populations. In February 2018, in the Early Intervention Team in Psychosis (EIPP) of the Baix Empordà area, of the public mental health network of the province of Girona, a Multifamily Group (MFG) is created for young people who have suffered from a First Psychotic Episode (FPE) or they are at risk of suffering it, the so-called High Risk Mental States (HRMS). The team builds a group therapeutic scenario with the aim of linking, controlling and giving continuity of treatment to the patient and their family. Our multifamily approach has been inspired by Jaakko Seikkula's ideas and his Open Dialogue psychotherapeutic model, and by the contributions of Irvin Yalom on the efficacy of Group Therapeutic Factors. We have placed special emphasis on the elements to be taken into account when managing the emotional climate of the group, which is known as one of the most important variables of psychic change. Our GMF has as its particular characteristic, Interdisciplinary Therapeutic Management. This article shows the process of implementation and integration of the GMF in an incipient psychotic disorders early intervention community program


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Transtornos Psicóticos/terapia , Intervenção Médica Precoce/organização & administração , Psicoterapia de Grupo/métodos , Equipe de Assistência ao Paciente , Psicoterapia de Grupo/instrumentação , Transtornos Mentais/terapia , Relações Mãe-Filho/psicologia , Terapia Familiar/métodos
4.
Fam Process ; 59(3): 989-996, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32743795

RESUMO

This paper addresses the need for a swift transition from in-person clinical supervision to telesupervision during the time of the COVID-19 global pandemic. Five specific areas will be discussed in the effort to enhance the quality of clinical supervision provided to couple and family therapists in training at this time including the following: (1) COVID-19 and the structural changes and technological adaptation of supervision; (2) culturally and contextually sensitive guidelines for clinical supervision during COVID-19; (3) the supervisee's competence and the clinical supervisory process; (4) the new set of boundaries and the supervisory role; (5) and the supervisory alliance and supervisees' vulnerabilities in the face of COVID-19.


Assuntos
Infecções por Coronavirus/psicologia , Terapia de Casal/organização & administração , Terapia Familiar/organização & administração , Pneumonia Viral/psicologia , Psicoterapia/organização & administração , Telemedicina/organização & administração , Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Terapia de Casal/métodos , Terapia Familiar/métodos , Humanos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Quarentena/psicologia , Telemedicina/métodos
5.
Fam Process ; 59(3): 865-882, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32663315

RESUMO

The novel coronavirus has added new anxieties and forms of grieving to the myriad practical and emotional burdens already present in the lives of underserved and uninsured immigrant families and communities. In this article, we relate our experiences since the COVID-19 crisis to the lessons we have learned over time as mental health professionals working with families in no-cost, student-managed community comprehensive health clinics in academic-community partnerships. We compare and contrast the learnings of flexibility of time, space, procedures, or attendance we acquired in this clinical community setting during regular times, with the new challenges families and therapists face, and the adaptations needed to continue to work with our clients in culturally responsive and empowering ways during the COVID-19 pandemic. We describe families, students, professionals, promotoras (community links), and IT support staff joining together in solidarity as the creative problem solvers of new possibilities when families do not have access to Wi-Fi, smartphones, or computers, or suffer overcrowding and lack of privacy. We describe many anxieties related to economic insecurity or fear of facing death alone, but also how to visualize expanding possibilities in styles of parenting or types of emotional support among family members as elements of hope that may endure beyond these unprecedented tragic times of loss and uncertainty.


Assuntos
Serviços Comunitários de Saúde Mental/métodos , Infecções por Coronavirus/psicologia , Emigrantes e Imigrantes/psicologia , Terapia Familiar/métodos , Pneumonia Viral/psicologia , Quarentena/psicologia , Adolescente , Adulto , Idoso , Betacoronavirus , Criança , Infecções por Coronavirus/etnologia , Infecções por Coronavirus/prevenção & controle , Feminino , Pessoal de Saúde/psicologia , Disparidades em Assistência à Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Pneumonia Viral/etnologia , Pneumonia Viral/prevenção & controle , Populações Vulneráveis/etnologia , Populações Vulneráveis/psicologia , Adulto Jovem
6.
Fam Process ; 59(3): 1007-1017, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32663330

RESUMO

The coronavirus disease 2019 (COVID-19) pandemic has precipitated substantial global disruption and will continue to pose major challenges. In recognition of the challenges currently faced by family scientists, we share our perspectives about conducting family research in the context of the COVID-19 pandemic. There are two primary issues we address in this article. First, we present a range of potential solutions to challenges in research, resulting from the pandemic, and discuss strategies for preserving ongoing research efforts. We discuss approaches to scaling back existing protocols, share ideas for adapting laboratory-based measures for online administration (e.g., using video chat platforms), and suggest strategies for addressing missing data and reduced sample size due to lower participation rates and funding restrictions. We also discuss the importance of measuring COVID-19 relevant factors to use as controls or explore as moderators of primary hypotheses. Second, we discuss how the COVID-19 pandemic represents a scientifically important context for understanding how families adjust and adapt to change and adversity. Increased stress precipitated by the pandemic, varying from acute stress associated with job loss to more chronic and enduring stress, will undoubtedly take a toll. We discuss ways that family scientists can contribute to pandemic-related research to promote optimal family functioning and protect the health of family members.


Assuntos
Infecções por Coronavirus/psicologia , Terapia Familiar/tendências , Família/psicologia , Pneumonia Viral/psicologia , Quarentena/psicologia , Pesquisa/tendências , Adaptação Psicológica , Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Humanos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle
7.
Cochrane Database Syst Rev ; 7: CD009533, 2020 07 03.
Artigo em Inglês | MEDLINE | ID: mdl-32633858

RESUMO

BACKGROUND: Psychosis is an illness characterised by alterations in thoughts and perceptions resulting in delusions and hallucinations. Psychosis is rare in adolescents but can have serious consequences. Antipsychotic medications are the mainstay treatment, and have been shown to be effective. However, there is emerging evidence on psychological interventions such as cognitive remediation therapy, psycho-education, family therapy and group psychotherapy that may be useful for adolescents with psychosis. OBJECTIVES: To assess the effects of various psychological interventions for adolescents with psychosis. SEARCH METHODS: We searched the Cochrane Schizophrenia Group's study-based Register of Trials including clinical trials registries (latest, 8 March 2019). SELECTION CRITERIA: All randomised controlled trials comparing various psychological interventions with treatment-as-usual or other psychological treatments for adolescents with psychosis. For analyses, we included trials meeting our inclusion criteria and reporting useable data. DATA COLLECTION AND ANALYSIS: We independently and reliably screened studies and we assessed risk of bias of the included studies. For dichotomous data, we calculated risk ratios (RRs) and 95% confidence intervals (CIs) on an intention-to-treat basis. For continuous data, we used mean differences (MDs) and the 95% CIs. We used a random-effects model for analyses. We created a 'Summary of findings' table using GRADE. MAIN RESULTS: The current review includes 7 studies (n = 319) assessing a heterogenous group of psychological interventions with variable risk of bias. Adverse events were not reported by any of the studies. None of the studies was sponsored by industry. Below, we summarise the main results from four of six comparisons, and the certainty of these results (based on GRADE). All scale scores are average endpoint scores. Cognitive Remediation Therapy (CRT) + Treatment-as-Usual (TAU) versus TAU Two studies compared adding CRT to participants' TAU with TAU alone. Global state (CGAS, high = good) was reported by one study. There was no clear difference between treatment groups (MD -4.90, 95% CI -11.05 to 1.25; participants = 50; studies = 1, very low-certainty). Mental state (PANSS, high = poor) was reported by one study. Scores were clearly lower in the TAU group (MD 8.30, 95% CI 0.46 to 16.14; participants = 50; studies = 1; very low-certainty). Clearly more participants in the CRT group showed improvement in cognitive functioning (Memory digit span test) compared to numbers showing improvement in the TAU group (1 study, n = 31, RR 0.58, 95% CI 0.37 to 0.89; very low-certainty). For global functioning (VABS, high = good), our analysis of reported scores showed no clear difference between treatment groups (MD 5.90, 95% CI -3.03 to 14.83; participants = 50; studies = 1; very low-certainty). The number of participants leaving the study early from each group was similar (RR 0.93, 95% CI 0.32 to 2.71; participants = 91; studies = 2; low-certainty). Group Psychosocial Therapy (GPT) + TAU versus TAU One study assessed the effects of adding GPT to participants' usual medication. Global state scores (CGAS, high = good) were clearly higher in the GPT group (MD 5.10, 95% CI 1.35 to 8.85; participants = 56; studies = 1; very low-certainty) but there was little or no clear difference between groups for mental state scores (PANSS, high = poor, MD -4.10, 95% CI -8.28 to 0.08; participants = 56; studies = 1, very low-certainty) and no clear difference between groups for numbers of participants leaving the study early (RR 0.43, 95% CI 0.15 to 1.28; participants = 56; studies = 1; very low-certainty). Cognitive Remediation Programme (CRP) + Psychoeducational Treatment Programme (PTP) versus PTP One study assessed the effects of combining two types psychological interventions (CRP + PTP) with PTP alone. Global state scores (GAS, high = good) were not clearly different (MD 1.60, 95% CI -6.48 to 9.68; participants = 25; studies = 1; very low-certainty), as were mental state scores (BPRS total, high = poor, MD -5.40, 95% CI -16.42 to 5.62; participants = 24; studies = 1; very low-certainty), and cognitive functioning scores (SPAN-12, high = good, MD 2.40, 95% CI -2.67 to 7.47; participants = 25; studies = 1; very low-certainty). Psychoeducational (PE) + Multifamily Treatment (MFT) Versus Nonstructured Group Therapy (NSGT, all long-term) One study compared (PE + MFT) with NSGT. Analysis of reported global state scores (CGAS, high = good, MD 3.38, 95% CI -4.87 to 11.63; participants = 49; studies = 1; very low-certainty) and mental state scores (PANSS total, high = poor, MD -8.23, 95% CI -17.51 to 1.05; participants = 49; studies = 1; very low-certainty) showed no clear differences. The number of participants needing hospital admission (RR 0.84, 95% CI 0.36 to 1.96; participants = 49; studies = 1) and the number of participants leaving the study early from each group were also similar (RR 0.52, 95% CI 0.10 to 2.60; participants = 55; studies = 1; low-certainty). AUTHORS' CONCLUSIONS: Most of our estimates of effect for our main outcomes are equivocal. An effect is suggested for only four outcomes in the SOF tables presented. Compared to TAU, CRT may have a positive effect on cognitive functioning, however the same study reports data suggesting TAU may have positive effect on mental state. Another study comparing GPT with TAU reports data suggesting GPT may have a positive effect on global state. However, the estimate of effects for all the main outcomes in our review should be viewed with considerable caution as they are based on data from a small number of studies with variable risk of bias. Further data could change these results and larger and better quality studies are needed before any firm conclusions regarding the effects of psychological interventions for adolescents with psychosis can be made.


Assuntos
Remediação Cognitiva , Terapia Familiar , Psicoterapia de Grupo , Transtornos Psicóticos/terapia , Esquizofrenia/terapia , Adolescente , Viés , Cognição/fisiologia , Terapia Combinada/métodos , Humanos , Memória de Curto Prazo , Pacientes Desistentes do Tratamento/estatística & dados numéricos , Terapia Assistida por Computador , Resultado do Tratamento , Jogos de Vídeo
8.
Psychiatr Hung ; 35(3): 247-253, 2020.
Artigo em Húngaro | MEDLINE | ID: mdl-32643616

RESUMO

Ivan Boszormenyi-Nagy, the founder of the contextual therapy was born on 19th May 1920. None of the psychotherapeutic models deal with the transgenerational relationships, nor do they address the issue of trustworthi - ness, relational obligations and consequences other than the contextual therapy. Its goal is the restoration and the prevention through strengthening the resources of care, concern and connection. This goal is accomplished by multi - directed partiality, which is one of the most important therapeutic attitude and dialogic methods. The paper addresses the significance of contextual approach and its historical antecedents.


Assuntos
Terapia Familiar/história , História do Século XX , Humanos
9.
Fam Process ; 59(3): 1018-1023, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32621312

RESUMO

In response to the COVID-19 crisis in Asia, a family therapist in Hong Kong shares her experiences and reflections, both personally and professionally from an Eastern lens. From a state of shock and immobilization to moments of contemplation, she highlights her struggle with being caught between her Eastern roots and Western training, which has become more salient in facing COVID-19. While the latter pulls her toward a more problem resolution stance, the former pulls her toward a more accepting position. As a result, her therapy is shaped in such a way that she tends to raise more questions instead of providing answers.


Assuntos
Infecções por Coronavirus/psicologia , Terapia Familiar/tendências , Pessoal de Saúde/psicologia , Pneumonia Viral/psicologia , Quarentena/psicologia , Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Hong Kong/epidemiologia , Humanos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle
10.
Fam Process ; 59(3): 1045-1059, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32621755

RESUMO

This report introduces the COVID-19 Family Environment Scale (CHES), which aims to measure the impact of social distancing due to COVID-19 on household conflict and cohesion. Existing measures do not capture household experiences relevant to the pandemic, in which families are largely confined to their homes while sharing a life-threatening situation. Using best practice guidelines, we developed a pool of items and revised them with review by a panel of experts, and cognitive interviewing with community respondents. We administered the CHES by online survey to 3,965 adults. The CHES consists of 15 items for each of two subscales, household conflict (α = .847) and household cohesion (α = .887). Exploratory factor analysis yielded two factors, corresponding to the intended conflict and cohesion items, which accounted for 29% of variance. Confirmatory factor analysis partially supported the 2-factor model (RMSEA = .057; CFI = .729, TLI = .708, and SRMR = .098). The CHES also contains 25 optional items to describe respondent and household characteristics, and household-level COVID-19 exposure. The CHES, publicly available at https://elcentro.sonhs.miami.edu/research/measures-library/covid-19/index.html, provides a tool for measuring the impact of the COVID-19 pandemic on important determinants of resilience in the face of major stressful events. Further work is needed to address the factor structure and establish validity of the CHES.


Assuntos
Infecções por Coronavirus/psicologia , Conflito Familiar/psicologia , Relações Familiares/psicologia , Pneumonia Viral/psicologia , Escalas de Graduação Psiquiátrica/normas , Quarentena/psicologia , Adolescente , Adulto , Betacoronavirus , Criança , Infecções por Coronavirus/prevenção & controle , Análise Fatorial , Características da Família , Terapia Familiar/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Reprodutibilidade dos Testes , Adulto Jovem
11.
Fam Process ; 59(3): 974-988, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32692867

RESUMO

When the World Health Organization declared the coronavirus outbreak a pandemic, clinicians were challenged to maintain continuity of care. Teletherapy became the primary means of service delivery for many who had never or only sparingly used it. The Family Institute at Northwestern University, in response to encouraging findings with respect to the effectiveness of teletherapy and recognizing advantages with respect to access to care, launched our teletherapy services in 2018. As a relationship-based organization, we were keen to exploit the opportunity that teletherapy provides to integrate additional members of the client system into the treatment. Over these two plus years, we have learned a great deal. Our learning was greatly accelerated by our transition to a 100% teletherapy practice in the wake of the pandemic. Teletherapy is a different context. Intentionally managing the context's constraints and exploiting its strengths is key to providing high-quality couple and family therapy. This step is often overlooked or resisted when teletherapy is an occasional add-on to a face-to-face practice.


Assuntos
Infecções por Coronavirus/psicologia , Terapia de Casal/métodos , Terapia Familiar/métodos , Pneumonia Viral/psicologia , Quarentena/psicologia , Telemedicina/métodos , Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Humanos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle
12.
Fam Process ; 59(3): 898-911, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32678915

RESUMO

This article addresses the many complex and traumatic losses wrought by the COVID-19 pandemic. In contrast to individually based, symptom-focused grief work, a resilience-oriented, systemic approach with complex losses contextualizes the distress and mobilizes relational resources to support positive adaptation. Applying a family resilience framework to pandemic-related losses, discussion focuses on the importance of shared belief systems in (1) meaning-making processes; (2) a positive, hopeful outlook and active agency; and (3) transcendent values and spiritual moorings for inspiration, transformation, and positive growth. Practice guidelines are offered to facilitate adaptation and resilience.


Assuntos
Adaptação Psicológica , Infecções por Coronavirus/psicologia , Terapia Familiar/métodos , Pesar , Pneumonia Viral/psicologia , Resiliência Psicológica , Betacoronavirus , Esperança , Humanos , Pandemias , Guias de Prática Clínica como Assunto , Terapias Espirituais/métodos
13.
J Consult Clin Psychol ; 88(8): 696-707, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32700953

RESUMO

OBJECTIVE: This study examined the effects of the Protecting Strong African American Families (ProSAAF) prevention program on children's outcomes more than 2 years after enrollment, including direct effects of the intervention and indirect effects through couple functioning and parent-child relations. METHOD: Three hundred forty-six African American couples with an early adolescent child participated; all families lived in rural, low-income communities in the southern United States. Families were randomly assigned to ProSAAF or control conditions and completed four waves of data collection. Couples reported couple functioning at baseline (Wave 1) and at 9-month follow-up (Wave 2), and parent-child relations at 17-month follow-up (Wave 3). Children reported their conduct problems, affiliation with deviant peers, substance use, sexual onset, depressive symptoms, and self-control at 25-month follow-up (Wave 4). RESULTS: Path analyses indicated significant indirect effects of ProSAAF on children's outcomes through improvements in couple functioning and better parent-child relations. There were no significant direct effects of the intervention on children's outcomes or significant indirect effects through couple functioning alone. CONCLUSIONS: This couple-focused prevention program has positive indirect effects on several child outcomes through the intervening processes of promoting improvements in couple functioning and better parent-child relations. These findings provide cautious optimism regarding the possible benefits of couple-focused programming on participants' children while suggesting ways in which future couple-focused interventions could yield stronger effects on these youth. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Afro-Americanos , Terapia de Casal , Terapia Familiar , Seguimentos , Avaliação de Resultados em Cuidados de Saúde , Relações Pais-Filho , Pobreza , População Rural , Cônjuges , Adolescente , Adulto , Criança , Feminino , Humanos , Masculino , Grupo Associado
14.
Schmerz ; 34(4): 303-313, 2020 Aug.
Artigo em Alemão | MEDLINE | ID: mdl-32488422

RESUMO

The corona pandemic has led to a number of restrictions and prohibitions, which in turn place large psychosocial or spiritual burdens on patients with COVID-19, their families and relatives and the treating personnel in the healthcare system. Patients with COVID-19 are not allowed to receive visitors and many hospitals and nursing homes have completely banned visitors. Many support services have been reduced or stopped completely. Necessary treatment interventions for other patients with critical and life-limiting diseases have been delayed or suspended in order to free resources for the expected COVID-19 patients; however, these people need to feel social connectedness with their relatives. Palliative care patients should be exempted from any ban on visitors. Families should be able to visit dying patients even on intensive care units or isolation wards, using adequate protective equipment. Alternative options, such as video telephone calls or via social media should be explored for patients in isolation. Families should also be enabled to say goodbye to the deceased with adequate protective equipment or should be offered alternative real or virtual options for remembrance and commemoration. Health care professionals coping with the exceptional stress should be continuously supported. This requires clear communication and leadership structures, communication training, psychosocial support, but most of all optimal framework conditions for the clinical work.


Assuntos
Infecções por Coronavirus/psicologia , Pesar , Cuidados Paliativos , Pneumonia Viral/psicologia , Betacoronavirus , Aconselhamento , Medicina de Emergência , Terapia Familiar , Alemanha , Humanos , Neoplasias , Estresse Ocupacional , Medicina Paliativa , Pandemias , Psico-Oncologia , Serviço Social , Visitas a Pacientes
15.
Fam Process ; 59(3): 967-973, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32594521

RESUMO

COVID-19 and the accompanying procedures of shelter-in-place have had a powerful effect on all families but have additional special meanings in the context of families contemplating divorce, divorcing, or carrying out postdivorce arrangements. This paper explores those special meanings for these families. It also offers suggestions for couple and family therapists involved in helping these families during the time of COVID-19.


Assuntos
Infecções por Coronavirus/psicologia , Divórcio/psicologia , Terapia Familiar/métodos , Pneumonia Viral/psicologia , Quarentena/psicologia , Adolescente , Adulto , Betacoronavirus , Criança , Infecções por Coronavirus/prevenção & controle , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Adulto Jovem
16.
Fam Process ; 59(3): 997-1006, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32594527

RESUMO

Online therapy and supervision, a rapidly rising practice in couple and family therapy, has been the subject of a growing body of literature. From its early days, family therapy training has included live supervision, which has typically been conducted by a supervisor and a team of trainees situated on the other side of a one-way mirror. With the outbreak of the COVID-19 global pandemic, we-the staff of supervisors at the Barcai Institute in Tel Aviv, Israel-were compelled to find solutions to continue meeting with clients and to provide supervision for family therapy trainees. To this end, we have shifted our live supervision courses ("practicums") to the virtual arena, adapting the popular application "Zoom" into what we call "PractiZoom." Based on over 100 PractiZoom sessions conducted between March and May 2020, involving 14 supervisors and 28 therapists-in-training and their clients, the article reflects on this pioneering online practicum for the online live supervision of therapists with geographically distributed participants. In this article, we outline our operational methods and adaptations for conducting live behind-the-mirror supervision online. Following a short theoretical background, we outline the process of online live supervision, discuss our reflections and those of our trainees on the challenges and possibilities it poses, and offer a number of preliminary conclusions and recommendations.


Assuntos
Infecções por Coronavirus/psicologia , Terapia de Casal/organização & administração , Terapia Familiar/organização & administração , Pneumonia Viral/psicologia , Psicoterapia/organização & administração , Telemedicina/organização & administração , Adulto , Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Terapia de Casal/educação , Terapia de Casal/métodos , Terapia Familiar/educação , Terapia Familiar/métodos , Feminino , Humanos , Israel , Masculino , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Psicoterapia/educação , Quarentena/psicologia , Telemedicina/métodos , Adulto Jovem
17.
Fam Process ; 59(3): 832-846, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32589267

RESUMO

The COVID-19 pandemic brings to the forefront the complex interconnected dilemmas of globalization, health equity, economic security, environmental justice, and collective trauma, severely impacting the marginalized and people of color in the United States. This lack of access to and the quality of healthcare, affordable housing, and lack of financial resources also continue to have a more significant impact on documented and undocumented immigrants. This paper aims at examining these critical issues and developing a framework for family therapists to address these challenges by focusing on four interrelated dimensions: cultural values, social determinants of health, collective trauma, and the ethical and moral responsibility of family therapists. Given the fact that family therapists may unwittingly function as the best ally of an economic and political system that perpetuates institutionalized racism and class discrimination, we need to utilize a set of principles, values, and practices that are not just palliative or after the fact but bring forth into the psychotherapeutic and policy work a politics of care. Therefore, a strong call to promote and advocate for the broader continuum of health and critical thinking preparing professionals to meet the challenges of health equity, as well as economic and environmental justice, is needed. The issues discussed in this paper are specific to the United States despite their relevance to family therapy as a field. We are mindful not to generalize the United States' reality to the rest of the world, recognizing that issues discussed in this paper could potentially contribute to international discourse.


Assuntos
Terapia Familiar/ética , Disparidades nos Níveis de Saúde , Pandemias/ética , Política , Racismo/ética , Betacoronavirus , Mudança Climática , Infecções por Coronavirus/etnologia , Infecções por Coronavirus/psicologia , Disparidades em Assistência à Saúde , Humanos , Princípios Morais , Pneumonia Viral/etnologia , Pneumonia Viral/psicologia , Racismo/psicologia , Determinantes Sociais da Saúde , Marginalização Social , Valores Sociais , Estados Unidos/epidemiologia
18.
Fam Process ; 59(3): 1024-1033, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32589268

RESUMO

Like a meteor hitting the earth's surface, 44, 131‡ unexpected deaths have shaken, disturbed, and saddened the core of our nation. This reflection considers the consequences of the coronavirus crisis in the UK with particular reference to the impact on families and on the practice of family therapists. The perspective presented can only be partial because of the fast-changing situation and the limited access to alternative perspectives that are available during this period of relational lockdown. The author provides a systemic understanding of what has happened and what is happening.


Assuntos
Infecções por Coronavirus/psicologia , Terapia Familiar , Pneumonia Viral/psicologia , Quarentena/psicologia , Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Humanos , Relações Interpessoais , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Reino Unido/epidemiologia
19.
Fam Process ; 59(3): 847-864, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32589265

RESUMO

The worldwide coronavirus (COVID-19) has had profound effects on all aspects of life: physical health, the ability to travel locally or to more distant destinations, material and financial resources, and psychosocial wellbeing. Couples, families, and communities and individual persons in those relationships have struggled to cope with emerging depression, anxiety, and trauma, and the rise of relational conflict. In this article, we suggest that the existential nature of the pandemic's challenges requires more than just the usual psychosocial interventions. We propose a taxonomy of responses to foster coping and resilience-"Reaching Up, Down, In, and Around." "Reaching Up" includes accessing spiritual, religious, and ethical values. "Reaching Down" includes ideas and practices that foster a revised relationship with the Earth and its resources, and that engage families to participate in activities that aid the Earth's recovery from decades of human-caused damage. "Reaching In" represents a turn towards experiences available in the mind and in shared minds in relationships that provide pleasure, excitement, joy, and peace, given that external sources of these emotions are of limited availability due to quarantine. "Reaching Around" involves reframing the mandate for "social distancing" as fostering social connection and support while maintaining physical distancing. The challenges for family therapists, whose practices are confined largely to online therapy, and who are struggling with the same fears and constraints as those persons they are attempting to help, are also discussed.


Assuntos
Infecções por Coronavirus/psicologia , Terapia Familiar/métodos , Pneumonia Viral/psicologia , Quarentena/psicologia , Adaptação Psicológica , Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Humanos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Resiliência Psicológica
20.
Int J Eat Disord ; 53(7): 1142-1154, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32533799

RESUMO

The necessity to employ distance-based methods to deliver on-going eating disorder care due to the novel coronavirus (COVID-19) pandemic represents a dramatic and urgent shift in treatment delivery. Yet, TeleHealth treatments for eating disorders in youth have not been adequately researched or rigorously tested. Based on clinical experience within our clinic and research programs, we aim to highlight the common challenges clinicians may encounter in providing family-based treatment (FBT) via TeleHealth for children and adolescents with anorexia nervosa and bulimia nervosa. We also discuss possible solutions and offer practical considerations for providers delivering FBT in this format. Additional research in TeleHealth treatment for eating disorders in youth may lead to improved access, efficiency, and effectiveness of FBT delivered via videoconferencing.


Assuntos
Anorexia Nervosa/terapia , Bulimia Nervosa/terapia , Infecções por Coronavirus/prevenção & controle , Terapia Familiar/métodos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Telemedicina/métodos , Adolescente , Betacoronavirus , Criança , Feminino , Humanos , Comunicação por Videoconferência
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